DR. THOMAS BLOOM M.D.
NPI 1164597290
Pediatrics in Rego Park, NY

Q: What is Thomas Bloom's NPI number?

The NPI number for Thomas Bloom is 1164597290. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Thomas Bloom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Bloom was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2006PECOS Enrolled

6254 97TH PL, SUITE 2B, REGO PARK, NY 11374(718) 595-1166(718) 595-1167 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Thomas Bloom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS BLOOM M.D. (NPI 1164597290) is an individual pediatrics provider in Rego Park, New York, licensed in New York (167049) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164597290

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. THOMAS BLOOMCredential: M.D.

Location Address6254 97TH PL, SUITE 2BRego Park, NY 11374-1346

Mailing Address6254 97th Pl, Suite 2bRego Park, NY 11374-1346 · (718) 595-1166 · Fax (718) 595-1167

Phone(718) 595-1166

Fax(718) 595-1167

Sole ProprietorNo

Enumeration DateNovember 22, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1164597290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 167049

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6254 97TH PL, Rego Park, NY 11374

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Other Identifiers 15

Other4061374NY · Aetna Us Healthcare

Other487Y22NY · Empire Health Choice

Other73546NY · Vytra

Other000083377007NY · Unitedhealthcare

Other4C1906NY · Healthnet

Other6628678003NY · Cigna

OtherDP093NY · Oxford

Other010167049NY01NY · Anthem

Other167049NY · Hip

Medicaid01824886NY

Other000083377009NY · Unitedhealthcare

Other010167049NY02NY · Anthem

Other2697963NY · Ghi

Other74747NY · Vytra

Other487Y21NY · Empire Healthchoice

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Bloom M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Thomas Bloom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harmony Health Care Long Island

7.4 mi

Federally Qualified Health Center (FQHC)

2150 HEMPSTEAD TPKE # 58C
Elmont, NY 11003

Reassigned Medicare billing, New York enrollment
107 clinicians in this Medicare group

NPI 1336669670 (516) 488-3434

Elmont Community Health Center

7.6 mi

Clinic/Center

161 HEMPSTEAD TPKE
Elmont, NY 11003

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Nassau Health Care Corporation
553 clinicians in this Medicare group

NPI 1467478362 (516) 571-8200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMIT DENTAL, P.C.

Dentist (General Practice)

6254 97TH PL, SUITE C2
REGO PARK, NY 11374

Queens County (718) 595-1400

DR. LAXMIDHAR DIWAN MD

Orthopaedic Surgery (Sports Medicine)

6254 97TH PL, SUITE 2H
REGO PARK, NY 11374

Queens County (718) 271-7700

DR. MICHAEL KATZAP DDS

Dentist

6254 97TH PL, SUITE2D
REGO PARK, NY 11374

Queens County (718) 760-9272

SUNRISE PHYSICAL THERAPY AND REHABILITATION SERVICES

Physical Therapist

6254 97TH PL, STE 1A
REGO PARK, NY 11374

Queens County (718) 393-3844

QUEENS ARTHROSCOPY & SPORTS MEDICINE

Orthopaedic Surgery (Sports Medicine)

6254 97TH PL
REGO PARK, NY 11374

Queens County (718) 271-7700

DR. JODILYN GINGOLD M.D.,F.C.C.P.

Internal Medicine (Pulmonary Disease)

6254 97TH PL, SUITE 2E
REGO PARK, NY 11374

Queens County (917) 832-7940

MAROVEN PHYSICAL THERAPY LLC

Physical Therapist

6254 97TH PL, # 60
REGO PARK, NY 11374

Queens County (718) 830-0187

DR. JOHN J HUNTER JR. DDS

Dentist (General Practice)

6254 97TH PL, SUITE C2
REGO PARK, NY 11374

Queens County (718) 595-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Bloom's NPI number?

The NPI number for Thomas Bloom is 1164597290. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Thomas Bloom located?

Thomas Bloom practices at 6254 97th Pl Suite 2B, Rego Park, NY 11374. The listed phone number is (718) 595-1166.

What is Thomas Bloom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Bloom enrolled in Medicare?

Yes. Thomas Bloom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Bloom reassigns Medicare benefits to 2 organizations: Harmony Health Care Long Island (Elmont, NY) and Elmont Community Health Center (Elmont, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Bloom was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.